Individual provider Active NPI

Kristin Jo Slagter

  • Massage Therapist
  • Willmar, MN
National Provider Identifier
1245811397
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
1550 Willmar Ave SE Ste B
Willmar, MN 56201-4738
Phone
(320) 235-6320
Fax
(320) 235-2542
NPI assigned
Apr 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X Primary

Addresses

Primary practice location

1550 Willmar Ave SE Ste B
Willmar, MN 56201-4738

Mailing address

1550 Willmar Ave SE Ste B
Willmar, MN 56201-4738
Phone (320) 235-6320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Duininck Chiropractic, PA CurrentSince Apr 25, 2021 Accepting new patients

Locations

1550 Willmar Ave SE
#B
Willmar, MN 56201
Phone (320) 235-5913

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1245811397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 WILLMAR AVE SE STE B",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562014738",
            "telephone_number": "320-235-6320",
            "fax_number": "320-235-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 WILLMAR AVE SE STE B",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562014738",
            "telephone_number": "320-235-6320",
            "fax_number": "320-235-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAGTER",
        "first_name": "KRISTIN",
        "middle_name": "JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willmar, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.